Organization
TEVETA IOM, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD WESTMARK M.D. (PRESIDENT)
(713) 955-8269
Entity
Organization
Contact information
Practice address
2450 LOUISIANA ST, STE 400, #341, HOUSTON, TX 77006-2380
(713) 955-8269
Mailing address
2450 LOUISIANA ST, STE 400, #341, HOUSTON, TX 77006-2380
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
—
—
2084N0400X
Neurology Physician
—
—
2084N0600X
Clinical Neurophysiology Physician
Primary
—
—
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
—
—
Other
Enumeration date
10/18/2016
Last updated
10/18/2016
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